Submit Date: Nov 29, 2021
First Name
Last Name
Email Address
Street Address
Suite or Apt
City
State
Postal Code
Primary Phone
Alternate Phone
Employer
Job Title
CITY OF SAN JOSE, CALIFORNIA
Boards and Commissions Application
Profile
Please note, applications are continuously accepted to the City of San Jose Boards and Commissions. The Board or Commission you select may or may not indicate there is a vacancy.
Your application will remain on file for one year from the date of submission. During the year, your application may be considered for unanticipated vacancies.
Which Boards would you like to apply for?
Civil Service Commission: Submitted
Are you a resident of San Jose?
Yes
No
Length of Residency
6 or more years
What district do you live in? To verify, please click here: https://eservices.sccgov.org/rov/? tab=dt
*
District 6
Current Employer Address
Current Employer of Spouse
Samuel R Swift, a professional law Corporation
Samuel
Swift
San Jose
CA
95125
self- semi-retired
N/A
Samuel Swift
Address of Current Employer of Spouse
Spouse's Job Title
paralegal
If you or your spouse is retired and receiving a pension, please state source of pension.
N/A
Demographics (Optional)
The demographic information you choose to provide is
VOLUNTARY
and
OPTIONAL
. This
information will be kept separate from your application and will not be used for evaluating applications or making appointments. The City of San José will use this information to solely conduct research and compile statistical reports regarding the composition of its Board and Commission applicants.
Question applies to multiple boards
Ethnicity
Question applies to multiple boards
To which gender identity do you most identify?
Interests & Experiences
High School, College, Professional, Vocational, or Other Schools Attended. Please include Major or Field of Study, Dates Attended, Degree and Date of Degree.
Pomona College, BA, 1968 Stanford Law school, JD, 1973
List any position or office held in any governmental agency, civic, or charitable organization including the dates
County of Santa Clara social service advisory commission.
Late 1980s
President of local chapter of
California applicant's attorneys Association. 1995 - 1998 Languages Spoken
English
Samuel Swift
Special Awards or Recognitions Received
Lifetime achievement award from California applicant's attorneys Association, 2020. Santa Clara University Cynthia Merten's award. 2006 – 2007 [for pro bono contribution to the Alexander community Law Center]
Please state why you want to become a member of this Board or Commission including specific objectives which you would work toward as a member. If you are applying for the Board of Fair Campaign and Political Practices, please indicate any familiarity or experience you may have with campaign laws.
I am semi retired, and I'm willing to contribute my skills & time to rendering decisions of the commission that are fair to both the taxpayers and the employees of the city of San Jose Please state any other information which you feel would be useful in reviewing your application
I have served as an arbitrator selected by the parties and workers compensation cases. I have served as a judge pro tem for the Worker's Compensation Appeals Board Do you own property in the City of San José?
Yes
No
If yes, please list the addresses here.
Do you rent property in the City of San José?
Yes
No
If yes, is it a month-to-month lease?
Yes
No
State and local law require that you abstain from participation in decisions that may affect your financial interests, including sources of income, interest in real property, personal finances or investments.
In addition, if appointed, you may be required to fill out a disclosure statement which indentifies certain of your financial interest beginning with the immediate twelve-month period prior to your appointment.
Please review the scopr of your
board/commission in Municipal Code Chapter 2.08.
Based on your best judgment, does this
Board or Commission make decisions that may affect sources of income, interests in real property, personal finances or investments of you or your spouse?
Yes
No
Samuel Swift
If yes, please explain.
Please identify any organizations, associations, corporations, or entities by which you are employed or associated that might be affected by decisions of this Board or Commission, and the positions you hold in these entities.
Question applies to multiple boards
If appointed, you will be required to fill out a disclosure statement, which identifies certain of your financial interests beginning with the immediate twelve-month period prior to your appointment and annually on or before April 1 of each year thereafter. Please confirm that you have read Fair Political Practices Commission (FPPC) Form 700 Reference Pamphlet and agree to file required FPPC Form 700 Statements of Economic Interest, as required by current City Council Conflict of Interest resolution.
Yes
No
Question applies to multiple boards
Have you ever been required to file a Statement of Economic Interest (Form 700) and failed to do so?
Yes
No
Question applies to multiple boards
If yes, please explain in complete detail.
Question applies to multiple boards
Please confirm that you have reviewed and agree to comply with the San Jose Municipal Code Chapter 12.08 (Prohibition of Gifts), City of San Jose Ethics Policy (City Policy Manual
1.2.1), and City of San Jose Gift Policy (City Policy Manual 1.2.2).
Yes
No
Reference 1 Name
Judge David Lauerman
Reference 1 Address
Reference 1 Phone
Reference 2 Name
Judge Norma Acosta
Samuel Swift
Reference 2 Address
Reference 2 Phone
Supplemental Questions
Question applies to
Board of Fair Campaign and Political Practices,
Civil Service Commission,
Planning Commission
Are you a registered voter in the City of San Jose? (Please note, your voter registration will be independently verified)
Yes
No
Question applies to
Civil Service Commission,
Board of Fair Campaign and Political Practices,
Planning Commission
Please provide the name and residential address under which you are registered to vote. If it is the same as listed above, please note see above.
see above
Question applies to
Appeals Hearing Board,
Civil Service Commission
Are you an attorney licensed to practice law in the State of California? If you are, please provide your California State Bar Association Number:
yes. State Bar number 58432
Question applies to
Civil Service Commission
If you are applying to the Attorney-at-Law position on the Civil Service Commission, please indicate how long you have been licensed to practice law in the State of California. Note, you must have been licensed at least five years to be considered eligible for the position. If this question does not apply to you, select 'n/a'.
n/a
If applicable, have you ever attended a meeting of the Commission(s) to which you are applying?
Yes
No
Would you be available to attend meetings at the scheduled time?
Yes
No
Please describe your experience in serving on a Commission or Board.
I served on the county's social service advisory commission for three years. I served on the Board of Directors of the California applicant's attorneys Association for 25 years. I served on the board of the Northern California ACLU for three years
Samuel Swift
(Optional) Please upload a resume.
Considering your experience and activities in business, labor, professional, social, or other organizations,
indicate the experience, training, knowledge and/or skills which qualify you for appointment to the selected commission(s).
see the above service
What is your understanding of the purpose of the Commission? To hear and decide disputes brought to the commission by employees of the city of San Jose Please list three issues facing the City that you feel the Commission should address.
Consider claims by city employees and decide them fairly Question applies to
Civil Service Commission
Council Policy prohibits former or current City employees to serve on the Civil Service Commission. Have you previously been employed by the City of San Jose?
Yes
No
Question applies to multiple boards
Do you meet the requirements for appointment to this commission?
Yes
No
I would like to say . . .
I look forward to considering the interests of the city, the taxpayers, and the employees of the city in hearing and deciding issues brought before the commission Retirement Board Questions Only
Samuel Swift
Verification
By checking the box below, you agree with the following statement.
I agree that all of the information contained in my responses to the questions on this application are true and accurate to the best of my knowledge. I further agree that, by checking the box below and submitting this application, online or otherwise, I am affixing my digital signature to this form as of the date submitted.
I Agree
*
Samuel Swift